| NPI | 1194191072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009641) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: KY 3009641) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2022-01-07 |