| NPI | 1518966936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3002531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3002531) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2018-05-02 |