| NPI | 1700423290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3014078) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 3014078) |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2024-11-13 |