| NPI | 1255645552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-75143) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KS 53-75143) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2021-01-07 |