NPI | 1740504273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-75289) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2010009590) |
Enumeration Date | 2010-03-26 |
Last Update Date | 2025-03-24 |