| NPI | 1780106039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017023146) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 2017023146) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2026-08-20 |