| NPI | 1750346631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3003955) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 1088847) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2024-03-21 |