| NPI | 1225718604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82396) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 144639) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2023030187) | |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-08-02 |