| NPI | 1366859365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79004) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019038975) |
| 364S00000X Clinical Nurse Specialist (Licence: KS 53-74753-052) | |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2020-02-19 |