| NPI | 1649843855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KS 53-82602-022) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MO 2023038380) |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2025-07-19 |