NPI | 1669443503 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO CNP-117726) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79175-042) |
Enumeration Date | 2006-01-30 |
Last Update Date | 2025-08-26 |