| NPI | 1669341228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84850-032) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025041047) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2026-01-07 |