| NPI | 1447326715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008988) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-050939) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2019-07-12 |