| NPI | 1851148530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024019229) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83108-051) |
| Enumeration Date | 2024-05-01 |
| Last Update Date | 2025-06-02 |