| NPI | 1881688414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3003024) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3003024) |
| 363L00000X Nurse Practitioner (Licence: KY 3024p) | |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-07-13 |