| NPI | 1912101262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3002147) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP93334483) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2019-10-07 |