| NPI | 1376965723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 79194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13105091092) |
| Enumeration Date | 2014-01-19 |
| Last Update Date | 2023-01-11 |