| NPI | 1598094013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 3006102) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: KY 1101249) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2020-02-25 |