| NPI | 1891513123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-85399-111) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2026014655) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2026-05-26 |