| NPI | 1689909210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375028072) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2023-02-22 |