| NPI | 1114289840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 75698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13103396102) |
| 363L00000X Nurse Practitioner (Licence: KS 75698) | |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2023-02-20 |