NPI | 1821361221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006885) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71004765A) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2025-03-10 |