| NPI | 1134124084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: KS 44510) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 44510) |
| 363LF0000X Nurse Practitioner Family (Licence: KS 74547) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-10-28 |