| NPI | 1699522839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-84338-012) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KS 13-151652-012) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2025-05-12 |