| NPI | 1417686619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017955) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1086155) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2022-06-21 |