NPI | 1376519959 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 136816) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-79657) |
Enumeration Date | 2006-02-24 |
Last Update Date | 2020-10-21 |