| NPI | 1801314133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KS 77860) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77860-021) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-10-19 |