| NPI | 1649866609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015064) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3015064) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2025-05-01 |