| NPI | 1366078933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80486-051) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: KS 13-115049-051) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2022-02-07 |