| NPI | 1437656790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3012179) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: KY AG02180069) |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2023-03-01 |