| NPI | 1760678577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009213) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1093689) |
| Enumeration Date | 2007-09-15 |
| Last Update Date | 2020-03-21 |