| NPI | 1275008369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78561-071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-118761-071) |
| 163W00000X Registered Nurse (Licence: MO 2013042460) | |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2026-01-30 |