| NPI | 1508820127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY RN 1031814) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY ARNP 1007P) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |