NPI | 1467961466 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 79430) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2017034293) |
Enumeration Date | 2017-09-22 |
Last Update Date | 2022-04-04 |