| NPI | 1588997118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 74994) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KS 1389811101) |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2010-12-01 |