| NPI | 1285124560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 78392) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-128966-111) |
| Enumeration Date | 2018-05-13 |
| Last Update Date | 2023-09-08 |