| NPI | 1821378761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5375510042) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2011027098) |
| 363LF0000X Nurse Practitioner, Family (Licence: KS TMP143384) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IA A160717) | |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2021-12-03 |