| NPI | 1023502267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KS 5379214121) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14138493121) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 95009249) | |
| 163W00000X Registered Nurse (Licence: CA 95152155) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2020-07-23 |