| NPI | 1255001558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 80569) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 135794) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2022-05-25 |