NPI | 1538447016 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009175) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R 211982-1 CNP) |
363LF0000X Nurse Practitioner, Family (Licence: TN 15944) | |
Enumeration Date | 2011-08-01 |
Last Update Date | 2023-07-10 |