| NPI | 1386835718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 75077) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: KS 1373230121) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2017-08-02 |