NPI | 1730584657 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009053) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009053) |
Enumeration Date | 2014-11-04 |
Last Update Date | 2019-03-29 |