| NPI | 1174230742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 5381637022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 81637) |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-03-14 |