| NPI | 1235262924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 77419) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2002026638) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2023-10-10 |