| NPI | 1346906898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017535) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1147517) |
| 172P00000X Naprapath | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2022-03-21 |