| NPI | 1295305324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3016450) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1142670) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-08-04 |