| NPI | 1184095200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3009317) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009317) |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2022-08-03 |