| NPI | 1144740267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018005) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 69381) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-06-08 |