| NPI | 1649839960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79084-092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011005013) |
| 163W00000X Registered Nurse (Licence: KS 14-145650-092) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2019044732) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2023-08-18 |