| NPI | 1023487527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-76983-022) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 151709) |
| Enumeration Date | 2015-09-15 |
| Last Update Date | 2025-08-13 |