| NPI | 1275284499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016667) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 3016667) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2024-05-01 |