| NPI | 1568843316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: KY 3009443) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3009443) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3009443) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3009443) | |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-06-27 |