| NPI | 1134388564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1105689) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2019-11-22 |