| NPI | 1083374276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4019410) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3017177) |
| 367A00000X Advanced Practice Midwife (Licence: KY 3017177) | |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2024-05-02 |