NPI | 1710355250 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009705) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009705) |
Enumeration Date | 2015-09-14 |
Last Update Date | 2022-08-03 |