| NPI | 1760016794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 79718) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-119979) |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2023-02-24 |