NPI | 1255483558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3004741) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4741P) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2022-05-18 |