| NPI | 1700642881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-83437-081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-155272-081) |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-08-15 |