| NPI | 1851340558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-45737) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45737) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2026-07-22 |