| NPI | 1215445457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KS 53-78017) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 78017) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-78017) | |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2022-12-06 |