| NPI | 1417274697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005800) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1039892) |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2011-01-04 |