| NPI | 1265608798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 13-90450-092) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 46207) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2024-01-13 |