| NPI | 1710548854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78826-052) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: KS 13-119259-052) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016765) | |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2024-05-06 |