| NPI | 1851824965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 5377617061) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 5377617061) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2023-02-23 |