| NPI | 1477317444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 4016198) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 2023127987) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-03-15 |