| NPI | 1841573326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007028) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 109130) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2019-04-25 |