NPI | 1033159223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3791P) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1083411) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2018-02-08 |