| NPI | 1932431665 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3006769) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1125795) |
| 363L00000X Nurse Practitioner (Licence: KY 3006769) | |
| 363LF0000X Nurse Practitioner Family (Licence: FL 9290575) | |
| Enumeration Date | 2010-02-05 |
| Last Update Date | 2025-05-08 |