NPI | 1871968628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009872) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71012795A) |
Enumeration Date | 2015-12-04 |
Last Update Date | 2022-09-21 |