| NPI | 1326541988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012695) |
| Additional Taxonomies | 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: KY 1117248) |
| 363L00000X Nurse Practitioner (Licence: KY 3012695) | |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2022-01-24 |