| NPI | 1710557038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015788) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3015788) |
| 207Q00000X Family Medicine (Licence: KY 1142606) | |
| 207QA0505X Family Medicine, Adult Medicine (Licence: KY 3015788) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2021-09-29 |