NPI | 1245361286 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 2179P) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 2179P) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2012-05-30 |