| NPI | 1659314243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3004714) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 4714P) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2018-12-06 |