| NPI | 1184672586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN11024074) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008410) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3004810) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-04-17 |