| NPI | 1841958352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-80831-071.) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-131452-071) |
| 363L00000X Nurse Practitioner (Licence: KS 53-80831-071) | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2023-04-03 |