| NPI | 1144229998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003131) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 1073349) |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2019-01-21 |