NPI | 1184334690 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3019040) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY f11220471) |
Enumeration Date | 2022-11-25 |
Last Update Date | 2023-03-29 |