NPI | 1538541198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009456) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009456) |
Enumeration Date | 2015-06-19 |
Last Update Date | 2024-10-28 |