| NPI | 1275583064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3232P) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1070799) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2018-03-29 |