NPI | 1497184386 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008230) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28211998A) |
Enumeration Date | 2013-11-01 |
Last Update Date | 2024-07-22 |