NPI | 1215467253 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 77762) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 108456) |
Enumeration Date | 2017-06-13 |
Last Update Date | 2023-09-13 |