| NPI | 1386326601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4015649) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11025899) |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2024-02-19 |