| NPI | 1891386769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2021003411) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 5380325011) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2025-09-23 |