| NPI | 1598362857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4001261) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9464303) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11009367) | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2023-05-18 |