NPI | 1003284449 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 76903) |
Additional Taxonomies | 364SE0003X Clinical Nurse Specialist, Emergency (Licence: KS 76903) |
364SF0001X Clinical Nurse Specialist, Family Health (Licence: KS 76903) | |
Enumeration Date | 2015-09-02 |
Last Update Date | 2021-08-18 |