| NPI | 1336533025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76800) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2024049136) |
| Enumeration Date | 2015-03-20 |
| Last Update Date | 2025-03-24 |