| NPI | 1699242545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3012755) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3012755) |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2023-07-05 |