NPI | 1659837722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014255) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN F02190797) |
Enumeration Date | 2019-02-14 |
Last Update Date | 2024-02-22 |