NPI | 1558764704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0994567-NP) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-76491-062) |
363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2014034214) | |
Enumeration Date | 2014-10-02 |
Last Update Date | 2019-06-26 |