NPI | 1497432868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4005723) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 4005723) |
Enumeration Date | 2023-06-28 |
Last Update Date | 2023-07-19 |