| NPI | 1831202928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45645) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-45645-102) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2024-11-07 |