| NPI | 1386834273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005049) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3005049) |
| 364S00000X Clinical Nurse Specialist (Licence: KY 5049S) | |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2024-05-04 |