| NPI | 1033394226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002575A) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3005563) | |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2018-04-10 |