| NPI | 1922820604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-85445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-120386) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2026-06-05 |