| NPI | 1457691354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 75939) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-105168) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2023-02-28 |