| NPI | 1174411219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4042815) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: KY 4042815) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-07-18 |