| NPI | 1942534557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3006138) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 6138P) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2020-09-01 |