NPI | 1295369536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 80372) |
Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: KS 13-84474) |
Enumeration Date | 2020-02-25 |
Last Update Date | 2021-10-06 |