| NPI | 1851705164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014017984) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5377316) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2025-02-12 |