| NPI | 1669107538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017925) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 26201) |
| Enumeration Date | 2022-07-23 |
| Last Update Date | 2024-01-04 |