NPI | 1235625187 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012387) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012387) |
363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3012387) | |
Enumeration Date | 2018-07-03 |
Last Update Date | 2024-01-10 |