| NPI | 1881582229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84647-012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-136230-012) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2025-11-17 |