| NPI | 1033708649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016188) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1149077) |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-06-24 |