NPI | 1053510651 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005457) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 44683) |
Enumeration Date | 2007-07-13 |
Last Update Date | 2020-12-07 |