| NPI | 1033493283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 300717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY F0911205) |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2023-04-20 |