| NPI | 1396096293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017056) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP4666) |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2022-01-27 |