| NPI | 1891932943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3005822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1080196) |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2019-07-29 |