NPI | 1346710183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012919) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012919) |
363L00000X Nurse Practitioner (Licence: IN 71008797A) | |
Enumeration Date | 2018-12-04 |
Last Update Date | 2023-05-04 |