NPI | 1770900433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 76421) |
Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: KS 76421) |
Enumeration Date | 2014-03-19 |
Last Update Date | 2024-01-26 |