| NPI | 1093537656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-163445) |
| Additional Taxonomies | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: KS 132473) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2026-04-30 |