NPI | 1801207824 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 1121016) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008765) |
Enumeration Date | 2014-05-13 |
Last Update Date | 2016-05-04 |