| NPI | 1184258451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015229) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 11442581) |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2021-01-25 |