| NPI | 1538699269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 77740) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 201719285) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2025-01-21 |