NPI | 1912556051 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5014240) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 66529) |
163W00000X Registered Nurse (Licence: KS 13-140598-122) | |
363L00000X Nurse Practitioner (Licence: FL APRN11018677) | |
363L00000X Nurse Practitioner (Licence: KS 79276) | |
Enumeration Date | 2019-09-11 |
Last Update Date | 2022-08-01 |