| NPI | 1750991741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81260-052) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13123784052) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-160855) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-81260-052) | |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2023-03-01 |