| NPI | 1275306672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 82783) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 133415) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-162117) | |
| Enumeration Date | 2023-11-07 |
| Last Update Date | 2024-03-13 |