NPI | 1689391070 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018442) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3018442) |
Enumeration Date | 2022-10-26 |
Last Update Date | 2023-02-08 |