| NPI | 1396717609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006642) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2014-12-10 |