| NPI | 1245310564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002301) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 2301P) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-12-29 |