NPI | 1235777517 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3014057) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3014057) |
Enumeration Date | 2019-12-17 |
Last Update Date | 2021-09-16 |