NPI | 1295496677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016093) |
Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: KY 3016093) |
Enumeration Date | 2022-01-06 |
Last Update Date | 2023-02-07 |