| NPI | 1114676533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3019081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1161510) |
| Enumeration Date | 2022-03-22 |
| Last Update Date | 2023-03-20 |