| NPI | 1487218913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5379300061) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 2016001476) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KS 13133993061) | |
| 363L00000X Nurse Practitioner (Licence: KS 79300) | |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2020-06-29 |