| NPI | 1104564319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner Critical Care Medicine (Licence: KS 5381277001) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KS 133322) |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2024-09-27 |