| NPI | 1285663625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3004046) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 1079843) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-07-21 |