| NPI | 1699522045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4021494) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1141653) |
| Enumeration Date | 2024-05-03 |
| Last Update Date | 2024-05-16 |