NPI | 1720610744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79235-122) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO m2020011703) |
Enumeration Date | 2020-02-07 |
Last Update Date | 2021-02-16 |