| NPI | 1457659104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-75337) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KS 53-75337-061) |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2023-01-24 |