NPI | 1265854178 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76246) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KS 53-76246) |
Enumeration Date | 2014-01-11 |
Last Update Date | 2024-10-15 |