| NPI | 1730674045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3018849) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 261664) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2023-02-13 |