NPI | 1588468953 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4036418) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 71016483A) |
208M00000X Hospitalist (Licence: KY 4036418) | |
Enumeration Date | 2025-04-03 |
Last Update Date | 2025-09-30 |