| NPI | 1437554813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY APRN # - 3008918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY RN # - 1106829) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |