NPI | 1457996332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015475) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71009734A) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-11-14 |
Last Update Date | 2024-06-27 |