| NPI | 1790490399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: KS 13-91978-081) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KS 755624) |
| Enumeration Date | 2023-01-18 |
| Last Update Date | 2023-02-14 |