| NPI | 1760820393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 53-75255-062) |
| Additional Taxonomies | 163WR1000X Registered Nurse, Reproductive Endocrinology/Infertility (Licence: KS 14113084062) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-10 |