| NPI | 1245700442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012947) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1139292) |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2023-06-28 |