| NPI | 1063186575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016634) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY F03211430) |
| Enumeration Date | 2021-08-07 |
| Last Update Date | 2022-02-17 |