| NPI | 1265219612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84912-112) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KS 14-162143-112) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2025-10-27 |