| NPI | 1255924239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 80025) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KS 142566) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2024-01-04 |