| NPI | 1093456980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-160784) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KS 13-116540-121) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-05-06 |