| NPI | 1033117478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3002356) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 2356P) |
| Enumeration Date | 2005-07-11 |
| Last Update Date | 2016-11-22 |