| NPI | 1184852436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006017) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 6017P) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3006017) | |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2015-08-17 |