NPI | 1407007388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3005746) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 5746P) |
363L00000X Nurse Practitioner (Licence: KY 5746P) | |
363L00000X Nurse Practitioner (Licence: KY 3005746) | |
Enumeration Date | 2008-10-09 |
Last Update Date | 2015-01-20 |