NPI | 1003865411 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 44978) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 14-57009-061) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2007-07-08 |