| NPI | 1588829139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 46215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 139521322) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2010-11-30 |