NPI | 1477733434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 77200) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016005880) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2023-11-09 |