| NPI | 1619709078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4026321) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 4026321) |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2025-01-07 |