| NPI | 1982298105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-80266) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KS 13-81206-051) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2024-01-11 |