NPI | 1073399614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4007579) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014521A) |
Enumeration Date | 2023-09-07 |
Last Update Date | 2023-11-30 |