| NPI | 1548497761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75671-101) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006033) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2024-09-19 |