| NPI | 1750912267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 79452) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KS 122239) |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2023-11-22 |