| NPI | 1568402246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004711) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4711P) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2023-06-16 |