| NPI | 1720538853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010767) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: KY 1134386) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3010767) | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2020-10-24 |