NPI | 1225110091 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-44828-022) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 5344828022) |
363L00000X Nurse Practitioner (Licence: MO 109738) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 109738) | |
Enumeration Date | 2006-10-20 |
Last Update Date | 2023-02-14 |