| NPI | 1669023131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LN0005X Nurse Practitioner Neonatal, Critical Care (Licence: KS 53-79008-122) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-79008-122) |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2024-08-19 |