| NPI | 1447271135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3004887) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4887P) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2015-02-16 |