| NPI | 1457473670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3002622) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 2622P) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-08-05 |