| NPI | 1770900433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 76421) |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: KS 76421) |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2024-01-26 |