NPI | 1871131938 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-78867-011) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2019021909) |
Enumeration Date | 2019-12-19 |
Last Update Date | 2019-12-19 |