NPI | 1740878750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79882-081) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021001097) |
Enumeration Date | 2021-01-05 |
Last Update Date | 2022-10-27 |