| NPI | 1952418857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3004708) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3004708) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2016-03-03 |