| NPI | 1992179741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 316678) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5376881072) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2025-01-27 |