NPI | 1376046607 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 78371) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OK 111828) |
Enumeration Date | 2018-03-13 |
Last Update Date | 2024-06-21 |