| NPI | 1477833903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007851) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024169557) |
| Enumeration Date | 2011-08-29 |
| Last Update Date | 2022-05-25 |