| NPI | 1225110091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-44828-022) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 5344828022) |
| 363L00000X Nurse Practitioner (Licence: MO 109738) | |
| 363LF0000X Nurse Practitioner Family (Licence: MO 109738) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2023-02-14 |