NPI | 1538482658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006295) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006295) |
Enumeration Date | 2010-03-03 |
Last Update Date | 2016-03-08 |