| NPI | 1588718589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC1500X Nurse Practitioner Community Health (Licence: KY 3002244) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: KY 2244P) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-02-02 |