| NPI | 1487341004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82242) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 161594) |
| Enumeration Date | 2023-04-24 |
| Last Update Date | 2023-06-12 |