| NPI | 1346398187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5064P) |
| Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: KY 1033354) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2012-01-18 |