NPI | 1275911281 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76708-031) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76708) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-07-22 |