NPI | 1134388564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005642) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1105689) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2019-11-22 |