| NPI | 1184094237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76808-051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-77306-051) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2015024671) | |
| 163W00000X Registered Nurse (Licence: MO 149578) | |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2017-12-18 |