| NPI | 1497443394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4005668) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KY 1159139) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-08-01 |