NPI | 1245634146 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3008959) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008959) |
Enumeration Date | 2014-10-21 |
Last Update Date | 2019-04-25 |