NPI | 1386924389 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3007090) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007090) |
Enumeration Date | 2011-08-22 |
Last Update Date | 2020-06-01 |