| NPI | 1548928757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-80463-111) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-80463-111) |
| Enumeration Date | 2021-12-05 |
| Last Update Date | 2024-05-07 |