NPI | 1477388890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 4027308) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4027308) |
363L00000X Nurse Practitioner (Licence: KY 4027308) | |
Enumeration Date | 2024-09-05 |
Last Update Date | 2024-12-02 |