| NPI | 1235274663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003688) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 3688P) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2022-07-21 |