NPI | 1801319181 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-77775-092) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-77775-092) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2021-08-26 |