NPI | 1023576337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3013204) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3013204) |
Enumeration Date | 2019-03-05 |
Last Update Date | 2023-04-12 |