NPI | 1174285233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4001257) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71011690A) |
Enumeration Date | 2021-10-06 |
Last Update Date | 2023-06-13 |