| NPI | 1922287341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4677p) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71002115a) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2010-05-21 |