| NPI | 1457030884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4040125) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5018454) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 5018454) | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2025-06-30 |