NPI | 1598413940 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81037-101) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022007297) |
Enumeration Date | 2022-03-15 |
Last Update Date | 2023-02-07 |