| NPI | 1598518508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4017916) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: KY 4017916) |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2025-02-03 |