| NPI | 1285739797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003477) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3477P) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2017-07-08 |