NPI | 1508967571 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3008703) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008703) |
Enumeration Date | 2006-09-25 |
Last Update Date | 2015-01-28 |