NPI | 1528535804 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012820) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3012820) |
Enumeration Date | 2018-10-25 |
Last Update Date | 2019-04-30 |