| NPI | 1457794646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017695) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9450003) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2022-11-01 |