| NPI | 1063291797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-162646) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: KS 142822) |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2025-09-03 |