| NPI | 1477803716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77312) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2012024964) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-08-31 |