NPI | 1952428211 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003607) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1046226) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2013-02-05 |