| NPI | 1174282081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4001253) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 30750) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 4001253) | |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2024-02-05 |