NPI | 1699976431 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005068) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1092014) |
363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3005068) | |
Enumeration Date | 2007-05-30 |
Last Update Date | 2019-10-29 |