NPI | 1518966936 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3002531) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002531) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2018-05-02 |