| NPI | 1124760657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3018235) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1054145) |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2022-10-25 |