| NPI | 1538135389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-45829-022) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 45829) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2014-03-04 |