| NPI | 1114788361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 144340) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-02-21 |