| NPI | 1184334690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3019040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY f11220471) |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2023-03-29 |