NPI | 1760888671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76502) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76502) |
Enumeration Date | 2014-11-05 |
Last Update Date | 2024-11-18 |