| NPI | 1427181015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 12265) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5027P) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2014-05-01 |