| NPI | 1053510651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005457) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 44683) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2020-12-07 |