| NPI | 1225268931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R213111) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY RN1105234) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 6079) | |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2023-01-24 |