| NPI | 1689458242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82840-102) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: KS 53-82840-102) |
| 363L00000X Nurse Practitioner (Licence: MO 2024003255) | |
| 163W00000X Registered Nurse (Licence: KS 14-158715-102) | |
| 163W00000X Registered Nurse (Licence: MO 2017026161) | |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-05-14 |