NPI | 1992210165 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012355) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 112721) |
Enumeration Date | 2017-12-08 |
Last Update Date | 2023-08-15 |