| NPI | 1710281399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1102941) |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2020-12-03 |