| NPI | 1487021820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76965-032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 205572) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2025-01-15 |