| NPI | 1760478788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3005721) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP1686962) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3005721) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2024-12-23 |