| NPI | 1013655224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KS 5380458012) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14104793012) |
| 163WP0200X Registered Nurse, Pediatrics (Licence: KS 202028563) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: MO 2021038363) | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-04-18 |