| NPI | 1952031106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5382460061) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: AR 120472) |
| Enumeration Date | 2022-06-11 |
| Last Update Date | 2024-05-07 |