| NPI | 1831164383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5004405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY RN1091690 ARNP4785P) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2011-03-08 |