NPI | 1730583527 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76524) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021049141) |
Enumeration Date | 2014-10-22 |
Last Update Date | 2022-01-11 |