| NPI | 1356913255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-80362-081) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2024031041) |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2025-04-30 |