| NPI | 1245485085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3005777) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 5777P) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2025-10-24 |