NPI | 1639833155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80648-052) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-80648-052) |
Enumeration Date | 2021-10-30 |
Last Update Date | 2024-01-24 |