| NPI | 1518695261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82224-021) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 89757) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2023-10-31 |