| NPI | 1982333191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-81181-012) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2022017352) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-06 |