| NPI | 1699143487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 5376935) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-76935-082) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2025-06-03 |