| NPI | 1336808799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 80437) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 80437) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 80437) | |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2024-10-21 |