| NPI | 1083847404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006215) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1097839) |
| 363L00000X Nurse Practitioner (Licence: KY 3006215) | |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2024-05-31 |