NPI | 1184230534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79613-072) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2020022574) |
Enumeration Date | 2020-09-21 |
Last Update Date | 2023-10-27 |