| NPI | 1063489086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5351P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71001945A) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2010-08-02 |