NPI | 1255116513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-82665-082) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2022041570) |
163W00000X Registered Nurse (Licence: KS 13-113085-082) | |
Enumeration Date | 2023-08-25 |
Last Update Date | 2024-01-10 |