NPI | 1376517227 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 2579P) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 2579P) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2010-02-17 |