| NPI | 1518522994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79947021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95011365) |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2025-04-21 |