| NPI | 1275911281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-76708-031) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76708) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-07-22 |