| NPI | 1124886106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-162301) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024010166) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-03-13 |
| Last Update Date | 2024-06-14 |