| NPI | 1467948513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3010919) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-185359) |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2023-06-29 |