| NPI | 1023318144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KS 75193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS CNP-01713) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2018-05-16 |