| NPI | 1295327450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5380010051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-127058-051) |
| 363L00000X Nurse Practitioner (Licence: KS TMP159869) | |
| 363L00000X Nurse Practitioner (Licence: KS 53-80010-051) | |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-08-19 |