| NPI | 1871119800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: KS 53-79417) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-79417) |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2022-09-19 |