| NPI | 1043095532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4009305) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4009305) |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2023-09-27 |