| NPI | 1801462825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80231-111) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 53-80231-111) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-80231-111) | |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2024-12-03 |