NPI | 1932785961 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 79733) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-79733-06) |
Enumeration Date | 2021-03-21 |
Last Update Date | 2021-07-06 |