| NPI | 1306494299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013839) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY F08190998) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2021-08-30 |