NPI | 1265434625 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 44507) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9305267) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2021-09-08 |