NPI | 1659368744 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3004317) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71001757A) |
363L00000X Nurse Practitioner (Licence: KY 4317P) | |
Enumeration Date | 2005-10-04 |
Last Update Date | 2023-07-22 |