| NPI | 1346291994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4005P) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-03-31 |