| NPI | 1265931851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY F10170103) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2023-01-09 |