| NPI | 1336865039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4018311) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: RI APRN03292) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2024-06-18 |