NPI | 1518679349 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017942) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3017942) |
Enumeration Date | 2022-12-26 |
Last Update Date | 2023-04-10 |