| NPI | 1700670528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4043598) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY None) |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-07-07 |