| NPI | 1043551237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KS 1345168092) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KS 5344304092) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |