| NPI | 1255746384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76274-041) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KS 13-109121-041) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-07-14 |