| NPI | 1295084135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041353510) |
| 163W00000X Registered Nurse (Licence: KY 1132747) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-12-22 |