| NPI | 1396414827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-80611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 137088) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71015115A) | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2025-07-30 |