| NPI | 1033472832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 75833) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 51757) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS TMP 145036) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2013-07-12 |