| NPI | 1538461033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-109547) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1124155) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 12384NP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY F1110115) | |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2021-05-28 |