NPI | 1528078854 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3815P) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3815P) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2008-04-14 |