| NPI | 1821891896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84383-082) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-115031-082) |
| Enumeration Date | 2025-03-27 |
| Last Update Date | 2025-09-13 |