| NPI | 1639787245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014491) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY KY19765) |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2021-01-05 |