| NPI | 1851857320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78659-071) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: KS 1383171071) |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-06-14 |