| NPI | 1285240739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82378-091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 144687) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2024-03-07 |