| NPI | 1407537707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-84404-012) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KS 147482) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2025-06-03 |