NPI | 1962885285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-81617) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2022049691) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP128446) | |
Enumeration Date | 2015-07-06 |
Last Update Date | 2023-05-22 |