| NPI | 1942981089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 82965) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 869381) |
| 163W00000X Registered Nurse (Licence: KS 134615) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-03-11 |