| NPI | 1982733986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005129) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 43809) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2022-12-12 |