| NPI | 1609461516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015588) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024180487) |
| Enumeration Date | 2021-03-02 |
| Last Update Date | 2022-01-26 |