| NPI | 1689392599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-83320-081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 123533) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-07-08 |