| NPI | 1326836040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-84613-111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-154029-111) |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-08-04 |