NPI | 1194081398 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2012009191) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 82394) |
Enumeration Date | 2012-04-02 |
Last Update Date | 2023-10-03 |