NPI | 1275514408 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3004517) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3004517) |
Enumeration Date | 2005-11-05 |
Last Update Date | 2024-04-09 |