NPI | 1730748047 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 78163) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 78163) |
Enumeration Date | 2019-06-10 |
Last Update Date | 2019-06-10 |