| NPI | 1700039799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 46273) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-46273-011) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2024-01-08 |