| NPI | 1013452879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-77518-082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-77518-082) |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2024-04-23 |