| NPI | 1841531282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-79468-091) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-143751-091) |
| 163W00000X Registered Nurse (Licence: MO 2016002931) | |
| 363LF0000X Nurse Practitioner Family (Licence: MO 2020013780) | |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2020-11-10 |