| NPI | 1396892949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3002535) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 3002535) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3002535) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-04-24 |