| NPI | 1750171963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4039434) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 4039434) |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2026-04-09 |