| NPI | 1124093182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-45-730-112) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45730) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2024-06-06 |