| NPI | 1427476829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015899) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1136405) |
| 363L00000X Nurse Practitioner (Licence: KY 3015899) | |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2024-08-07 |