| NPI | 1386924496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77088) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209008980) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2016017262) | |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2016-06-27 |