NPI | 1538717814 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013781) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1148737) |
Enumeration Date | 2019-08-29 |
Last Update Date | 2020-11-10 |