| NPI | 1326586637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82381-102) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: OK 116292) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2024-03-06 |