NPI | 1942699764 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009168) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005324A) |
Enumeration Date | 2015-01-16 |
Last Update Date | 2023-11-27 |