NPI | 1356125504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 82541) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 117388) |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-09-21 |