| NPI | 1366145369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 77335) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS TMP-161520) |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-03-20 |