NPI | 1689345183 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3016665) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3016665) |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3016665) | |
Enumeration Date | 2021-09-23 |
Last Update Date | 2022-06-07 |