NPI | 1255739660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5376634031) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76634) |
Enumeration Date | 2014-12-17 |
Last Update Date | 2023-03-13 |