NPI | 1588019210 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21147) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY F1215489) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2016-05-25 |