| NPI | 1932417151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006584) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 6584P) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2022-12-16 |