NPI | 1861975005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2018043747) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 5378280052) |
Enumeration Date | 2018-09-13 |
Last Update Date | 2020-12-23 |