| NPI | 1003311887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 78024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 115605) |
| Enumeration Date | 2018-03-26 |
| Last Update Date | 2024-06-10 |