| NPI | 1265160220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 83468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 150346) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2024-08-21 |