| NPI | 1548207186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-44671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 44671-122) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2023-04-18 |