| NPI | 1821659061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78844-102) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 53-78844-102) |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |