| NPI | 1417414665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 79243) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KS 123168) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2025-11-20 |