| NPI | 1194425181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82030-031) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 138236) |
| Enumeration Date | 2023-03-08 |
| Last Update Date | 2023-03-15 |