| NPI | 1447438155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 659P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1038430) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2010-08-26 |