| NPI | 1538184593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3000664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1038292) |
| 363LF0000X Nurse Practitioner Family (Licence: KY 664P) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-08-21 |