| NPI | 1255857868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011485) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1134445) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2023-09-06 |