| NPI | 1730465956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3011363) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN179147) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2020-11-16 |