| NPI | 1104348705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011500) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011500) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2018-03-17 |