| NPI | 1306166582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006398) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1105780) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2011-01-11 |