| NPI | 1033159223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3791P) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1083411) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-02-08 |