| NPI | 1295369536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 80372) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: KS 13-84474) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2021-10-06 |