NPI | 1912177536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005462) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005462) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2016-10-25 |