NPI | 1275020190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 78170) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 95692) |
Enumeration Date | 2018-04-16 |
Last Update Date | 2020-05-15 |