| NPI | 1073744348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006095) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 6095P) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2023-05-08 |