| NPI | 1598378986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5379282012) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS F01200572) |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-09-08 |