NPI | 1275834517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-75206) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2022007356) |
Enumeration Date | 2010-11-03 |
Last Update Date | 2024-04-30 |