| NPI | 1699881730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003174) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3174P) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-11-12 |