| NPI | 1366171944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018374) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 1161065) |
| Enumeration Date | 2022-06-08 |
| Last Update Date | 2022-09-15 |