NPI | 1558472670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 74238) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 14-53197-071) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-09 |