NPI | 1417353343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 0438320) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 77188) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2021-09-03 |