| NPI | 1508361601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1149622) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2025-04-16 |