NPI | 1235274663 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003688) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 3688P) |
Enumeration Date | 2007-02-21 |
Last Update Date | 2022-07-21 |