| NPI | 1265538383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY KY4365P) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1089723) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2013-05-10 |