NPI | 1467824136 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MO 2015034074) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KS 53-77324-102) |
Enumeration Date | 2015-10-21 |
Last Update Date | 2020-08-13 |