| NPI | 1376873646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 6321P) |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2011-02-22 |