NPI | 1497709547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003078) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1092664) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2014-08-21 |