| NPI | 1023058005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 44852) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 44853) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 44853) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2023-01-11 |