NPI | 1255816591 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018035915) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2011034040) |
207Q00000X Family Medicine (Licence: MO 2018035915) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 2018035915) | |
363LF0000X Nurse Practitioner, Family (Licence: KS 53-81402-052) | |
Enumeration Date | 2018-10-02 |
Last Update Date | 2024-09-03 |