| NPI | 1255516969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3005451) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5451P) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: KY 5451P) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: KY 5451P) | |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2020-02-21 |