| NPI | 1982289955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 82828) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: KS 13-93731-101) |
| 163W00000X Registered Nurse (Licence: KS 13-93731-101) | |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2024-12-11 |