| NPI | 1881066124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009993) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1118961) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2020-12-06 |