| NPI | 1518031269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003365) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3365P) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-12-05 |