NPI | 1699081653 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-75172-062) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2014042638) |
Enumeration Date | 2010-08-27 |
Last Update Date | 2018-08-16 |