| NPI | 1376320606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 5382513) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 82513) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-12-27 |