| NPI | 1588361596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83428-092) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KS 13-111584-092) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 11953) | |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-08-08 |