| NPI | 1932138740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 107735) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 45862) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2025-06-06 |