NPI | 1518031269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003365) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3365P) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2018-12-05 |