| NPI | 1013231786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006410) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3006410 GRP) |
| 363L00000X Nurse Practitioner (Licence: KY 6410P) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3006410) | |
| Enumeration Date | 2010-03-24 |
| Last Update Date | 2024-04-23 |