NPI | 1477159382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KS 53-79738-042) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2020035066) |
Enumeration Date | 2020-12-07 |
Last Update Date | 2022-09-30 |