| NPI | 1649604232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024173122) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008216) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: KY 300821) | |
| Enumeration Date | 2013-08-30 |
| Last Update Date | 2016-04-04 |