| NPI | 1164031936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 81284) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: KS 13-105182-011) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2023-04-20 |