| NPI | 1801168687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 75608) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS TMP 144226) |
| 363LF0000X Nurse Practitioner Family (Licence: SD CP001076) | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2023-01-06 |