| NPI | 1699351742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-80058-042) |
| Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: KS 13-101157-042) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-80058-042) | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2023-07-27 |