| NPI | 1952755340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016012514) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82987-071) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2026-06-25 |