NPI | 1801190400 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-75216-101) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2012035487) |
Enumeration Date | 2010-12-22 |
Last Update Date | 2013-05-06 |