NPI | 1770990061 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008661) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008661) |
363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3008661) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3008661) | |
Enumeration Date | 2014-07-17 |
Last Update Date | 2021-09-01 |