| NPI | 1972577427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5344785) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 5344785) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 165406) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2020-03-27 |