| NPI | 1144836313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79726-042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020034776) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS TMP-159643) | |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2021-01-26 |