| NPI | 1588634745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003819) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004210) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3819P) | |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-03-07 |