| NPI | 1427457597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 76477) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-76477-022) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 76477) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2024-01-23 |