| NPI | 1699296293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WS0200X Registered Nurse, School (Licence: KY 3011381) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011381) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3013181) | |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2024-03-27 |