| NPI | 1124450465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11000827) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008141) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2024-11-13 |