NPI | 1487058574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009037) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024559) |
Enumeration Date | 2014-10-17 |
Last Update Date | 2024-02-13 |