NPI | 1942486014 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005420) |
Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: KY 3005420) |
Enumeration Date | 2008-01-18 |
Last Update Date | 2019-05-14 |