NPI | 1598094013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3006102) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 1101249) |
Enumeration Date | 2009-12-11 |
Last Update Date | 2020-02-25 |