NPI | 1760478788 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005721) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1686962) |
363LF0000X Nurse Practitioner, Family (Licence: KY 3005721) | |
Enumeration Date | 2005-09-26 |
Last Update Date | 2024-03-14 |