| NPI | 1700569225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82438-071) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS TMP-161902) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-09-19 |