NPI | 1750991741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81260-052) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13123784052) |
363LF0000X Nurse Practitioner, Family (Licence: KS TMP-160855) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: KS 53-81260-052) | |
Enumeration Date | 2020-08-04 |
Last Update Date | 2023-03-01 |