| NPI | 1790036994 |
|---|---|
| Former Name | FEN KU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 22204) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 22204) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2021-12-08 |