NPI | 1881900058 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2012035666) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 141458) |
Enumeration Date | 2010-08-26 |
Last Update Date | 2022-06-14 |