| NPI | 1497709547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003078) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1092664) |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2014-08-21 |