| NPI | 1407285141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008187) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY F0713686) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KY F0713686) | |
| 363L00000X Nurse Practitioner (Licence: KY F0713686) | |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2020-10-23 |