| NPI | 1235625187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012387) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3012387) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: KY 3012387) | |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2024-01-10 |