| NPI | 1548802762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3013956) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1137632) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71009609) | |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2023-12-20 |