NPI | 1801299045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008935) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.026642) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5016623) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3008935) | |
363LF0000X Nurse Practitioner, Family (Licence: IN 71007782b) | |
363LF0000X Nurse Practitioner, Family (Licence: MA RN2363364) | |
Enumeration Date | 2014-10-02 |
Last Update Date | 2024-06-14 |