| NPI | 1497647622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-84666-101) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: KS 93776) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 93776) | |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: KS 93776) | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-08-18 |