NPI | 1720042575 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK R0058613) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 45669) |
Enumeration Date | 2006-04-17 |
Last Update Date | 2007-07-08 |