NPI | 1417586793 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014020) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3014020) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2022-06-06 |