| NPI | 1285452755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4028681) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1150702) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-11-07 |