NPI | 1841808862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 67669) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79454-112) |
Enumeration Date | 2020-07-15 |
Last Update Date | 2020-10-28 |