NPI | 1922494038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76731-101) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KS 14-106534-101) |
163WG0000X Registered Nurse, General Practice (Licence: MO 2006030418) | |
363LF0000X Nurse Practitioner, Family (Licence: MO 2015004538) | |
Enumeration Date | 2015-04-15 |
Last Update Date | 2020-09-28 |