| NPI | 1437454105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006611) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28189221A) |
| 163W00000X Registered Nurse (Licence: KY 1105112) | |
| 208D00000X General Practice (Licence: KY 3006611) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2024-05-21 |