| NPI | 1073236212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81795-062) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2018001732) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2022040687) | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2025-07-11 |