| NPI | 1811039209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003378) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1059598) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3378P) | |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2022-09-21 |