| NPI | 1437680907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011318) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017001832) |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2022-04-19 |