| NPI | 1366605024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375602091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2000172518) |
| 163W00000X Registered Nurse (Licence: KS 1384478091) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2012005449) | |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2023-02-27 |