| NPI | 1306154323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006636) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 6636P) |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2024-01-31 |