| NPI | 1588073886 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008855) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008855) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2020-02-24 |