| NPI | 1225920697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4044395) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1134792) |
| Enumeration Date | 2025-07-18 |
| Last Update Date | 2025-07-24 |