| NPI | 1922494038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76731-101) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KS 14-106534-101) |
| 163WG0000X Registered Nurse, General Practice (Licence: MO 2006030418) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2015004538) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2020-09-28 |