| NPI | 1417756032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 84271) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 13-147038-042) |
| Enumeration Date | 2025-03-08 |
| Last Update Date | 2025-09-03 |