NPI | 1255516969 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3005451) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5451P) |
363LA2200X Nurse Practitioner Adult Health (Licence: KY 5451P) | |
363LP2300X Nurse Practitioner Primary Care (Licence: KY 5451P) | |
Enumeration Date | 2008-01-02 |
Last Update Date | 2020-02-21 |