NPI | 1821490749 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005132A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009178) |
Enumeration Date | 2014-09-23 |
Last Update Date | 2018-05-01 |