NPI | 1790318103 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3012816) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3012816) |
Enumeration Date | 2020-02-14 |
Last Update Date | 2023-03-01 |