| NPI | 1447539440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3007245) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 15986) |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2015-10-14 |