NPI | 1841948452 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS F02220448) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022012396) |
Enumeration Date | 2022-03-13 |
Last Update Date | 2022-04-06 |