| NPI | 1184310625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 142729) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-83311-101) |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2025-02-10 |