NPI | 1144570672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 75843) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OK 83490) |
Enumeration Date | 2012-09-12 |
Last Update Date | 2017-10-04 |