| NPI | 1932389590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005345) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3005345) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3005345) | |
| Enumeration Date | 2007-11-11 |
| Last Update Date | 2020-11-03 |