| NPI | 1760461065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3004719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 4719P) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2024-11-12 |