| NPI | 1851470496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5147P) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2015-11-02 |