| NPI | 1497386098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-80297-081) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5380297081) |
| Enumeration Date | 2020-02-01 |
| Last Update Date | 2023-03-08 |