| NPI | 1083320451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-81895-091) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS TMP-161397) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-01-30 |