| NPI | 1174969596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-75973-062) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 87461) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2023-04-08 |