| NPI | 1669445292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007602) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1103847) |
| 163W00000X Registered Nurse (Licence: IN 28204147A) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2016-02-02 |