NPI | 1750393898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-45755) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 45755) |
Enumeration Date | 2006-08-13 |
Last Update Date | 2013-11-11 |