| NPI | 1538843719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82758) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13144220071) |
| Enumeration Date | 2023-06-09 |
| Last Update Date | 2025-02-05 |