| NPI | 1851857122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-118213) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5588) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2025054151) | |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2026-01-14 |