| NPI | 1952428211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003607) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1046226) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-02-05 |