NPI | 1205235140 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008866) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3008866) |
Enumeration Date | 2014-08-16 |
Last Update Date | 2020-01-29 |