| NPI | 1841742277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010860) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1113553) |
| 363L00000X Nurse Practitioner (Licence: KY 3010860) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2019-05-29 |