NPI | 1063489086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5351P) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001945A) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2010-08-02 |