| NPI | 1730508128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 366887) |
| 163W00000X Registered Nurse (Licence: KY 1117832) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2016-11-25 |