| NPI | 1235784273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79017) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KS 14-102691-022) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2019037463) | |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2025-03-11 |