| NPI | 1992108443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 76538) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 103471) |
| 363L00000X Nurse Practitioner (Licence: KS 149783) | |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2023-10-18 |