| NPI | 1396797304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: KS 79057) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 44881) |
| 208D00000X General Practice (Licence: KS 44881) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-01-03 |