NPI | 1881171981 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3011555) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3011555) |
363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3011555) | |
Enumeration Date | 2018-07-23 |
Last Update Date | 2023-04-18 |