NPI | 1528316742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007619) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007619) |
Enumeration Date | 2012-08-20 |
Last Update Date | 2016-08-09 |