NPI | 1578501383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 76333) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 143435) |
Enumeration Date | 2006-06-03 |
Last Update Date | 2021-11-24 |