| NPI | 1386739464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: KY 34958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011631) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-06-22 |