| NPI | 1386499424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-85819-071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 125409) |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2026-07-07 |