| NPI | 1366644346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 0346594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14119988-062) |
| 363L00000X Nurse Practitioner (Licence: KS 5375812062) | |
| 163W00000X Registered Nurse (Licence: MO 059889) | |
| 363L00000X Nurse Practitioner (Licence: MO 059889) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2014-10-03 |