| NPI | 1265287981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4018980) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 2023169044) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-06-05 |