NPI | 1932431665 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006769) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1125795) |
363LF0000X Nurse Practitioner, Family (Licence: FL 9290575) | |
363LF0000X Nurse Practitioner, Family (Licence: KY 3006769) | |
Enumeration Date | 2010-02-05 |
Last Update Date | 2019-03-14 |