| NPI | 1033662234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-77353-072) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-109452-072) |
| 363L00000X Nurse Practitioner (Licence: MO 2016035605) | |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2022-01-27 |