NPI | 1962856534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009918) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009918) |
Enumeration Date | 2016-04-20 |
Last Update Date | 2024-02-12 |