| NPI | 1396529525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4028074) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: KY 1146130) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-10-07 |