| NPI | 1417696188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82685-072) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC APN.26121) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-06-18 |