| NPI | 1285218099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-83631-011) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5014387) |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-09-26 |