| NPI | 1356056212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 81837) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-161358) |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-31 |