NPI | 1902101934 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 53-75056-031) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2001023168) |
Enumeration Date | 2011-01-23 |
Last Update Date | 2015-06-25 |