| NPI | 1295388221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013063) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3013063) |
| 363L00000X Nurse Practitioner (Licence: KY 3013063) | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2024-10-16 |