NPI | 1841810991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: KS 53-79360-022) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MO 2013034067) |
363L00000X Nurse Practitioner (Licence: WA AP61091030) | |
Enumeration Date | 2020-04-19 |
Last Update Date | 2021-09-27 |