NPI | 1265901649 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012680) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 35615) |
Enumeration Date | 2018-11-15 |
Last Update Date | 2024-11-15 |