NPI | 1962742056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007965) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 3007965) |
363L00000X Nurse Practitioner (Licence: KY 3007965) | |
Enumeration Date | 2013-02-26 |
Last Update Date | 2016-06-06 |