| NPI | 1316999774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3002740) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 2740P) |
| 363L00000X Nurse Practitioner (Licence: KY 3002740) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2023-11-21 |