NPI | 1073018040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 29402) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012211) |
Enumeration Date | 2018-03-29 |
Last Update Date | 2025-06-25 |