| NPI | 1659026938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 80984) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: KS 123122) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-03-28 |