| NPI | 1073018982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-78125) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN11014926) |
| Enumeration Date | 2018-03-24 |
| Last Update Date | 2024-03-07 |