| NPI | 1497061311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3006765) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KY 1071109) |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2021-08-17 |