| NPI | 1467173013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018088) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3018088) |
| 363L00000X Nurse Practitioner (Licence: KY 3018088) | |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2023-10-24 |