| NPI | 1306644455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-84176) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KS 13-140660-112) |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-07-15 |