NPI | 1952993768 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014188) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1117350) |
Enumeration Date | 2021-02-04 |
Last Update Date | 2021-02-04 |