| NPI | 1033428735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-75214-101) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: KS 53-75214-101) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2022-11-02 |