| NPI | 1376586040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5927P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005927) |
| 363L00000X Nurse Practitioner (Licence: KY R3005927) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2019-07-24 |