NPI | 1780214825 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013557) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3013557) |
Enumeration Date | 2020-01-16 |
Last Update Date | 2024-11-04 |