| NPI | 1033812607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4011523) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1140771) |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2023-11-15 |