| NPI | 1073118667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016788) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3016788) |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP022878) | |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2023-06-27 |