| NPI | 1962132134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 82348) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-115964) |
| Enumeration Date | 2022-06-12 |
| Last Update Date | 2023-09-18 |