| NPI | 1912223082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3007255) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP2751552) |
| 363LF0000X Nurse Practitioner, Family (Licence: ND R35844) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5006003) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2014-09-08 |