| NPI | 1164914370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 78230) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KS 53-78230-112) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2023-07-28 |