| NPI | 1801203773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: KS 13-15205-062) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-44340-062) |
| Enumeration Date | 2014-07-12 |
| Last Update Date | 2014-07-12 |