| NPI | 1881057842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010207) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3010207) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-06-08 |