| NPI | 1356571947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3004500) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 1033406) |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2018-03-17 |