NPI | 1114927704 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003706) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1097962) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2015-09-22 |