NPI | 1073135430 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-78921-052) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: KS 13-111822-052) |
Enumeration Date | 2020-05-08 |
Last Update Date | 2020-05-08 |