NPI | 1427529130 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3019049) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV APRN73590-FNP-BC) |
Enumeration Date | 2018-12-07 |
Last Update Date | 2023-03-16 |