| NPI | 1346811262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1145366) |
| Enumeration Date | 2021-07-02 |
| Last Update Date | 2021-08-03 |