NPI | 1033939673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-83705-062) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024038445) |
Enumeration Date | 2024-10-16 |
Last Update Date | 2024-10-16 |