| NPI | 1790477321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82217) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-161726) |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-25 |