| NPI | 1134745409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017253) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 77376) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2023-11-09 |