| NPI | 1770976482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76630-071) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KS 53-76630-071) |
| Enumeration Date | 2015-03-05 |
| Last Update Date | 2020-03-04 |