| NPI | 1801662937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-83146) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL 11029916) |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2024-05-06 |