| NPI | 1508674144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4036925) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1124237) |
| Enumeration Date | 2024-12-30 |
| Last Update Date | 2025-04-18 |