| NPI | 1053828145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: KY 3012004) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1146850) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2023-11-27 |