NPI | 1285402552 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 4022260) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4022260) |
Enumeration Date | 2023-12-18 |
Last Update Date | 2024-05-31 |