| NPI | 1407140932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75387-022) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 5375387022) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2022-10-20 |