| NPI | 1487325742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3016833) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 2021101533) |
| Enumeration Date | 2021-09-25 |
| Last Update Date | 2022-01-21 |