| NPI | 1972781474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 5475P) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005475) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2012-03-30 |