| NPI | 1629782909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018871) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3018871) |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-05-25 |