| NPI | 1578240339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3019131) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1124674) |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2024-05-29 |