| NPI | 1740870849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3015717) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 121247) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2025-02-25 |