| NPI | 1467025619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3016693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013751) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2024-07-30 |