NPI | 1841054467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4016204) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 15470) |
Enumeration Date | 2024-02-13 |
Last Update Date | 2025-10-09 |