NPI | 1275738791 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 44958) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 13-66740-121) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2007-07-08 |