| NPI | 1548287980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3002717) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 2717P) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-12-03 |