| NPI | 1215599030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78740-082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 119274) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 78740) | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2025-02-12 |