NPI | 1619285400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2010032711) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 75374) |
Enumeration Date | 2010-09-15 |
Last Update Date | 2022-07-21 |