| NPI | 1679204697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-81496) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: KS 13-125982) |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-09-28 |