| NPI | 1275126617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R51285) |
| Enumeration Date | 2021-02-17 |
| Last Update Date | 2023-05-31 |