| NPI | 1740852193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-82900-071) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 141701) |
| 363L00000X Nurse Practitioner (Licence: MO 2024005319) | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2024-02-16 |