| NPI | 1497130017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030618) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009442) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2024-02-09 |