| NPI | 1255079901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1140380) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 1140830) | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-06-16 |