| NPI | 1235838566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 81984) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-81984-021) |
| 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KS 53-81984-021) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81984-021) | |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-03-28 |