| NPI | 1679171318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015052) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R249027) |
| 363LF0000X Nurse Practitioner, Family (Licence: MD AC003455) | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2024-08-23 |