| NPI | 1053507798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 1099062) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5409P) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KY 3005409) | |
| Enumeration Date | 2007-09-17 |
| Last Update Date | 2018-07-24 |