NPI | 1720837768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4022797) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC F06231988) |
Enumeration Date | 2024-05-14 |
Last Update Date | 2024-08-20 |