| NPI | 1700310877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5377717082) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 201702240) |
| 163W00000X Registered Nurse (Licence: KS 13102581082) | |
| Enumeration Date | 2017-04-16 |
| Last Update Date | 2024-07-25 |