| NPI | 1437590809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 76057) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-106945) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2025-02-12 |