| NPI | 1891797270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019035122) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 75155) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2023-02-14 |