NPI | 1508218314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010420) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1110594) |
363L00000X Nurse Practitioner (Licence: CA 95029053) | |
Enumeration Date | 2016-07-05 |
Last Update Date | 2024-09-09 |