| NPI | 1225663263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-78664-062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020008269) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78664-062) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2022-05-12 |