| NPI | 1588159644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-73809-121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018022901) |
| 163W00000X Registered Nurse (Licence: KS 14-120815-121) | |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2021-05-10 |