| NPI | 1730499526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 6184P) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1103455) |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2010-10-14 |