| NPI | 1538829080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82832) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: KS 135874) |
| 163W00000X Registered Nurse (Licence: KS 135874) | |
| Enumeration Date | 2021-12-25 |
| Last Update Date | 2024-01-26 |