NPI | 1407285141 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008187) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY F0713686) |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KY F0713686) | |
363L00000X Nurse Practitioner (Licence: KY F0713686) | |
Enumeration Date | 2013-11-04 |
Last Update Date | 2020-10-23 |