| NPI | 1548973910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018348) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: KY 1158619) |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-01-06 |