| NPI | 1396387007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014229) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: KY 1095442) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2020-07-03 |