| NPI | 1013660760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 80819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NM 67332) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2024-01-19 |