| NPI | 1538500814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3008177) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008177) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2020-06-04 |