NPI | 1861615106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003975) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3003975) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2018-08-08 |