NPI | 1174915946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 76739) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS TMP 150694) |
Enumeration Date | 2015-03-03 |
Last Update Date | 2018-02-23 |