NPI | 1275008369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-78561-071) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-118761-071) |
163W00000X Registered Nurse (Licence: MO 2013042460) | |
Enumeration Date | 2018-10-04 |
Last Update Date | 2024-05-16 |