| NPI | 1336394543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005838) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5838P) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2013-12-04 |