| NPI | 1689441669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82777-031) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2024000041) |
| Enumeration Date | 2023-12-08 |
| Last Update Date | 2024-01-03 |