| NPI | 1669055083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4015836) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2021013053) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2021013053) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0035686) | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2025-03-25 |