NPI | 1346325578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003549) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003549) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2022-10-06 |