| NPI | 1891898151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: KS 13-66773-121) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: KS 45258) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-09 |