| NPI | 1730814930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-81379-011) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 115987) |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2025-09-25 |