NPI | 1023022738 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 39075) |
Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: KY 39075) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2007-07-08 |