NPI | 1740714674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011415) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1137585) |
Enumeration Date | 2017-04-18 |
Last Update Date | 2019-05-14 |