| NPI | 1346457652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3008570) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1108602) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3008570) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2024-04-30 |