| NPI | 1598090177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3006225) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1101105) |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2016-12-21 |