| NPI | 1376042499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4006595) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010227) |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2023-08-09 |