| NPI | 1902341324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5377433121) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-77433-121) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-03-18 |