| NPI | 1689104085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011355) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: KY 3011355) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3011355) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-09-01 |