NPI | 1598771669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010051) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95029159) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2024-02-29 |