| NPI | 1326801937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4027818) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: KY 1158294) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-10-01 |