NPI | 1922363845 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007539) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71004154A) |
Enumeration Date | 2012-07-06 |
Last Update Date | 2014-01-23 |