| NPI | 1518510965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013550) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11003375) |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2023-01-18 |