| NPI | 1255116513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82665-082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2022041570) |
| 163W00000X Registered Nurse (Licence: KS 13-113085-082) | |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2024-01-10 |