| NPI | 1194932376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5217P) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1038670) |
| 163WL0100X Registered Nurse, Lactation Consultant (Licence: KY 193-11146) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2019-04-25 |