| NPI | 1770206765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81597102) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2025051613) |
| 163WX0200X Registered Nurse, Oncology (Licence: KS 140383) | |
| Enumeration Date | 2022-09-23 |
| Last Update Date | 2026-05-20 |