NPI | 1649337841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71007633A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4384P) |
Enumeration Date | 2007-01-03 |
Last Update Date | 2018-03-17 |