NPI | 1831334234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005647) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5647P) |
Enumeration Date | 2008-12-14 |
Last Update Date | 2024-06-26 |