| NPI | 1285858308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3002846) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 2846P) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2022-01-18 |