| NPI | 1245458199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005622) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1098742) |
| 163W00000X Registered Nurse (Licence: OH 307859) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2013-05-10 |