| NPI | 1457127649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS F01240534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 148809) |
| Enumeration Date | 2023-11-28 |
| Last Update Date | 2024-01-14 |