| NPI | 1265260061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4022839) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 4022839) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: KY 4022839) | |
| Enumeration Date | 2024-07-23 |
| Last Update Date | 2024-07-23 |