NPI | 1386264034 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017400) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KY 1160950) |
Enumeration Date | 2020-04-23 |
Last Update Date | 2022-06-09 |