| NPI | 1497083018 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 6158P) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1098811) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |