| NPI | 1093725905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-45853) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KS 53-45853) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2017-12-04 |