| NPI | 1275405748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4045954) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1170615) |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-11-21 |