| NPI | 1194586529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KS 53-82796-081) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-82796-081) |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |