| NPI | 1023545183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 77476) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-101045-052) |
| 163W00000X Registered Nurse (Licence: MO 2007005339) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2017006435) | |
| Enumeration Date | 2017-05-18 |
| Last Update Date | 2017-05-18 |