| NPI | 1184281958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78876) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-105660) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-07-24 |