| NPI | 1316216609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007184) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 30071784) |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2022-11-22 |