| NPI | 1225877376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4018933) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: KY 3009091) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2025-03-26 |